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General NPI Number Information
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NPI Number | 1184432791
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Entity Type | Individual
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Provider Name | ALESSANDRA ANDERSON RDN
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Gender | Female
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Dates
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Enumeration Date | 12/28/2024
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 10 WESTON AVE APT 203
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City | QUINCY
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State | MA
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Zip | 02170-1841
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Country | US
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Telephone | 310-913-3019
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Fax |
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Provider Business Mailing Address
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Address Line | 10 WESTON AVE APT 203
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City | QUINCY
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State | MA
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Zip | 02170-1841
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Country | US
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Telephone | 310-913-3019
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 164.023384
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | LDN7838
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License Number State | MA
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